Provider Demographics
NPI:1417061532
Name:ORR, SARA JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:JEAN
Last Name:ORR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:JEAN
Other - Last Name:MORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:521 PARNASSUS AVE.
Mailing Address - Street 2:C 152, BOX 0622
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-353-1028
Mailing Address - Fax:
Practice Address - Street 1:521 PARNASSUS AVE.
Practice Address - Street 2:C 152, BOX 0622
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-353-1028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist